Utilization management jobs in Melrose, NYCreate job alerts

Department/Unit: Education And Develop Work Shift: Day (United States of America) Salary Range: $71,547.00- $118,053.00 The Education Specialist is expected to utilize their knowledge and skills to accomplish the goals of the organization. The Education Specialist achieves this goal through t...

Department/Unit: Inpatient Rehab - E8 Work Shift: Day (United States of America) The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate, implement and evaluate patient care for assigned service line across the continuum of care. The Case Manager works proac...

130 5th Ave (22130), United States of America, New York, New YorkAI Engineer - Principal Associate LevelOverview: At Capital One, we are creating trustworthy and reliable AI systems, changing banking for good. For years, Capital One has been leading the industry in using machine learning to creat...

11 West 19th Street (22008), United States of America, New York, New YorkSenior AI EngineerOverview: At Capital One, we are creating responsible and reliable AI systems, changing banking for good. For years, Capital One has been an industry leader in using machine learning to create real-time, pe...

Center 3 (19075), United States of America, McLean, VirginiaSenior Manager, AI EngineerOverview: At Capital One, we are creating responsible and reliable AI systems, changing banking for good. For years, Capital One has been an industry leader in using machine learning to create real-time, person...

Mentor junior staff in the utilization of security tools, report generation, and issue resolution ... Enhance visibility and detective capability in a fully managed Azure/AWS environment. * Conduct ...

... utilization & storage, battery storage, transport electrification and biofuels). This new group ... Management Responsibilities : * This role will have access to junior resources All qualified ...

Utilization Review * Discipline: RN * Start Date: 11/25/2024 * Duration: 13 weeks * 40 hours per ... Travel Must have 1 year of inpatient case management experience. Prefer prior critical care ...

Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are ...

... utilization of services across the continuum of care. Assist the entire Care Management interdisciplinary team in managing members with Care Management needs. Responsibilities * Assess and evaluate ...

Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization ...

Will work with Provider Contracting, Credentialing, Claims Operations, Utilization Management, and Network Management to setup systems to ensure accuracy of payments processing. Job Description

Utilization Management * Participate in utilization review and management. * Maintain focus on key strategic priorities including patient experience, access to care, increased market share, and ...

Complete Readmission screen in the Care Management Module (CarePort). * Conduct Utilization review via Chart Review. * Conduct timely concurrent reviews and responses to third party payors request ...

Specialty: Case Management * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Access Healthcare Job ID #64546244. Pay ...

Registered Nurse - Pediatric Case Manager. Nurses with experience in any of the following areas are ... Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and ...

Experience with Care Coordination, Utilization review and discharge planning Computer literacy ... Master's Degree and Bilingual Spanish Certification in Case Management preferred. BLS-AHA #HCRR RS ...

Manage the productivity of a team through attainment of utilization targets * Identify and execute strategies for service development, enablement, and process that result in the pull through of Palo ...

Works with Utilization Review staff relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other ...

Creating and refining automated lifecycle journeys and one-off campaigns across email, push, SMS, and other CRM channels to increase conversion, utilization, and retention. * Developing and ...

Responsible for case management and patient care delivery through nursing assessment, nursing intervention, patient education, patient care coordination and utilization of referral services, as part ...

Need to have a positive attitude, be able to critically think, and good time management skills. Utilization Review (UR) is a separate dept- UR will do insurance approvals and arranging transportation ...

... and utilization of warehouse management systems. Qualifications: • Bachelor's degree in industrial engineering, business administration, supply chain management, logistics, or a related field

... space utilization, and an enhanced property value. Our team provides a holistic suite of design ... Excellent time management and organizational abilities to handle multiple responsibilities ...